A Study of KER-050 to Treat Anemia Due to Very Low, Low, or Intermediate Risk Myelodysplastic Syndromes
Myelodysplastic Syndromes, Cytopenia
About this trial
This is an interventional treatment trial for Myelodysplastic Syndromes focused on measuring transfusion
Eligibility Criteria
Key Inclusion Criteria:
- Diagnosis of MDS according to World Health Organization (WHO)/French American British (FAB) classification that meets Revised International Prognostic Scoring System (IPSS-R) classification of very low, low, or intermediate risk disease.
- < 5% blasts in bone marrow.
- Peripheral blood white blood cell (WBC) count < 13,000/µL.
Anemia defined as:
- In non-transfused participants, having received no red blood cell (RBC) transfusions within 8 weeks Hgb concentration ≤ 10.0 g/dL OR
- In LTB participants, having received 1 to 3 units RBCs for Hgb ≤ 9.0 g/dL within 8 weeks OR
- In HTB participants, having received ≥ 4 units of RBCs for Hgb ≤ 9.0 g/dL within 8 weeks
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 (if related to anemia.
- Females of child-bearing potential and sexually active males must agree to use effective methods of contraception.
Key Exclusion Criteria:
- Any active infection requiring parenteral antibiotic therapy within 28 days prior to Cycle 1 Day 1 or oral antibiotics within 14 days of Cycle 1 Day 1.
- Diagnosis of secondary MDS (i.e., MDS known to have arisen as the result of chemical injury or treatment with chemotherapy and/or radiation for other diseases).
- Vitamin B12 deficiency.
- Prior treatment with azacitidine, decitabine, lenalidomide, luspatercept, or sotatercept.
Treatment within 28 days prior to Cycle 1 Day 1 with:
- Erythropoiesis stimulating agent (ESA) OR
- Granulocyte colony-stimulating factor (G-CSF) OR
- Granulocyte-macrophage colony-stimulating factor (GM-CSF)
- Iron chelation therapy if initiated within 8 weeks prior to Cycle 1 Day 1.
- Vitamin B12 therapy within 8 weeks prior to Cycle 1 Day 1.
- Treatment with another investigational drug or device or approved therapy for investigational use < or = 28 days prior to Cycle 1 Day 1, or if the half-life of the previous product is known, within 5 times the half-life prior to Cycle 1 Day 1, whichever is longer.
- Platelet count > 450 x 10*9/L or < 30 x 10*9/L.
- Transferrin saturation < 15%.
- Ferritin < 50 µg/L.
- Folate < 4.5 nmol/L (< 2.0 ng/mL).
- Vitamin B12 < 148 pmol/L (< 200 pg/mL).
- Estimated glomerular filtration rate (GFR) < 40 mL/min/1.73 m2 (as determined by the Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI].
- Pregnant or lactating females.
Sites / Locations
- University of Miami, Sylvester Comprehensive Cancer CenterRecruiting
- H. Lee Moffitt Cancer Center and Research Center
- University of Pittsburgh Medical Health Center
- Border Medical Oncology Research UnitRecruiting
- The Tweed HospitalRecruiting
- Westmead HospitalRecruiting
- Townsville University HospitalRecruiting
- Royal Adelaide HospitalRecruiting
- Flinders Medical CentreRecruiting
- Box Hill HospitalRecruiting
- University Hospital GeelongRecruiting
- Austin HealthRecruiting
- Royal Melbourne HospitalRecruiting
- St Vincent's Hospital MelbourneRecruiting
- Ballarat Oncology and Haematology ServiceRecruiting
- Fakultni Nemocnice BrnoRecruiting
- Fakultni Nemocnice Kralovske VinohradyRecruiting
- Vseobecna Fakultni Nemocnice PrahaRecruiting
- CHU Angers - Hôpital Hôtel DieuRecruiting
- CHU de Nantes - Hotel DieuRecruiting
- CHU Nice - Hôpital de l'ArchetRecruiting
- Hôpital Saint-LouisRecruiting
- CH René-DubosRecruiting
- CHU de Bordeaux - Hôpital Haut-LévêqueRecruiting
- Centre Hospitalier de la Région d'AnnecyRecruiting
- Klinikum Bayreuth GmbHRecruiting
- Marien Hospital Dusseldorf GMBHRecruiting
- Universitaetsklinikum Duesseldorf AoeRRecruiting
- Klinikum Esslingen GmbHRecruiting
- Universitaetsklinikum Leipzig AoeRRecruiting
- Universitaetsmedizin der Johannes Gutenberg-Universitaet MainzRecruiting
- Universitaetsmedizin RostockRecruiting
- Sheba Medical CenterRecruiting
- Tel-Aviv Sourasky Medical CenterRecruiting
- Middlemore HospitalRecruiting
- Hospital Universitario Central de AsturiasRecruiting
- Hospital Universitario Vall d'HebronRecruiting
- ICO l'Hospitalet - Hospital Duran i ReynalsRecruiting
- Hospital Universitario de SalamancaRecruiting
- Hospital Universitario Virgen del RocioRecruiting
- Hospital Universitari i Politecnic La FeRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
KER-050 Cohort 1
KER-050 Cohort 2
KER-050 Cohort 3
KER-050 Cohort 4
KER-050 Cohort 5
KER-050 Dose Confirmation Cohort
Escalating doses of KER-050 administered subcutaneously every 4 weeks for up to 4 cycles. Participants have the option to continue to receive KER-050 once 4 cycles have been completed for up to 24 cycles. Eligible participants may be able to continue to receive subcutaneously administered KER-050 after completing 24 cycles.
Escalating doses of KER-050 administered subcutaneously every 4 weeks for up to 4 cycles. Participants have the option to continue to receive KER-050 once 4 cycles have been completed for up to 24 cycles. Eligible participants may be able to continue to receive subcutaneously administered KER-050 after completing 24 cycles.
Escalating doses of KER-050 administered subcutaneously every 4 weeks for up to 24 cycles. Eligible participants may be able to continue to receive subcutaneously administered KER-050 after completing 24 cycles.
Escalating doses of KER-050 administered subcutaneously every 4 weeks for up to 24 cycles. Eligible participants may be able to continue to receive subcutaneously administered KER-050 after completing 24 cycles.
Escalating doses of KER-050 administered subcutaneously every 4 weeks for up to 24 cycles. Eligible participants may be able to continue to receive subcutaneously administered KER-050 after completing 24 cycles.
Participants to receive KER-050 administered subcutaneously every 4 weeks for up to 24 cycles. Eligible participants may be able to continue to receive subcutaneously administered KER-050 after completing 24 cycles.